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‘Corrosive culture’ at VA has led to significant failures in health care, White House review finds | Fox News

When thunder begins to roar, go inside as soon as possible. Foodborne illnesses Stats: Each year, 1 in 6 Americans (48 million) contract food poisoning. Of those, 128,000 are hospitalized, and 3,000 die. Risks: Food poisoning peaks in the summer months when warmer temperatures cause foodborne bacteria to flourish (they grow fastest at temperatures between 90 and 100 degrees). Should you worry?: Food poisoning is preventable. Cook your meats thoroughly and don’t cross-contaminate. When packing a cooler, for instance, wrap raw meats securely to ensure their juices don’t touch any other edibles. As her response for leftovers? Any food that’s been unrefrigerated for more than two hours should be tossed. Fireworks injuries Stats: In the month around Independence Day, 200 people on average go to the emergency room every day with fireworks-related injuries, according to the Consumer Product Safety Commission. Summer health hazards: What you should and shouldn’t worry about | Fox News

In remote Bilibo, we recruited one of Precious’ neighbors, Zarkpa, a 25-year-old woman who had never had a job. Before Zarkpa earned the role of community health worker, she had to pass four tests: a community-vetting process; a literacy screen; oral and practical assessments; and a probationary period. Zarkpa was trained not for a few days, but for several months: she was instructed in the diagnosis and treatment of the top 10 killers of women and children and — after passing stringent tests — equipped with a backpack of point-of-care tests and life-saving medicines so she could start treating Precious. Zarkpa receives ongoing coaching from an outreach nurse who ensured Precious recovered safely and links her to the referral clinic in case of the unexpected. For all of this, we didn’t expect Zarkpa to serve as a volunteer; we issued her a contract-guaranteed salary — tying it to her performance so she would be accountable to her village. Investing in community health worker performance saves more lives. In September 2012, the Liberian Ministry of Health invited Last Mile Health to partner in Konobo, one of the most remote and worst performing health districts in the country. Our research showed people had to walk up to 14 hours to reach the nearest clinic and the average age of death was just 28.6 years . In just 18 months, we deployed 46 professionalized community health workers — like Zarkpa — to ensure all people in 41 hard-to-reach villages (spread across an area the size of Rhode Island) had access to a healthcare worker for the first time. http://www.huffingtonpost.com/madeleine-ballard/how-do-you-deliver-health_b_5538331.html

How Do You Deliver Health Care Where There Are No Roads? Make Community Health Workers Better | Madeleine Ballard

« We know that unacceptable, systemic problems and cultural issues within our health system prevent veterans from receiving timely care, » Gibson said in a statement following the meeting. « We can and must solve these problems as we work to earn back the trust of veterans. » Among Nabors’ findings: — The VA acts with little transparency or accountability and many recommendations to improve care are slowly implemented or ignored. Concerns raised by the public, monitors or even VA leadership are viewed by those responsible for VA’s health care delivery as « exaggerated, unimportant, or `will pass. »‘ — The VA’s lack of resources is widespread in the health care field as a whole and in the federal government. But the VA has been unable to connect its budget needs to specific outcomes. –The VA needs to better prepare for changes in the demographic profile of veterans, including more female veterans, a surge in mental health needs and a growing number of older veterans. Since reports surfaced of treatment delays and of patients dying while on waiting lists, the VA has been the subject of internal, independent and congressional investigations. The VA has confirmed that dozens of veterans died while awaiting appointments at VA facilities in the Phoenix area, although officials say it’s unclear whether the delays were the cause of the deaths. One VA audit found that 10 percent of veterans seeking medical care at VA hospitals and clinics have to wait at least 30 days for an appointment. ‘Corrosive culture’ at VA has led to significant failures in health care, White House review finds | Fox News